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� PERMIT APPLICATlON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS ,�``Zf PARCEL TAX I.D.# PE IT# J� j � <br /> 6300 MERRILL CREEK PARWAY �T 28090200301500 ��)� �1�� � <br /> LEGAL LOTNO. BLOCK TRACT <br /> DESC. SEE ATTACHED <br /> OWNER AODRESS CITYILP PHONE <br /> MERRILL CREEK HOLDIHGS LLC 600 UNIVERSITY ST., SUITE 2820 SEATTLE 98101 20ti-325-2553 <br /> TENANTNAME CONTACTFOR?ERMIT PHONE <br /> ZLTSIEZ }WROLD CHRISTENSEN 206-325-2553 <br /> CONTRACTOR ADDRESS CITYZP PHONE <br /> SGA COR20RATION <br /> 1501 N 200TH ST. SHORELIrE 206-523-2191 <br /> CONTR LICENSE# SGACO•�084B5 <br /> USE OF BUILDING I — HEAT SOURCE I CONTRACT PRICE OF WORK <br /> OFFICE (B) / WAREHOUSE (S-1) '�'� <br /> Eleclric x Gas_Other ��l���— <br /> WORK DESCRIPTION RHCONFIGURATION OF WAREHOJSE SPACE TO OP'cN OFFICE SPACE WI'_'H CONfEREhCE ROOP75, <br /> PRIVI�TE OFFICES. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> Toilet __ A/C–air handling units <br /> BathWb Forced a��systems <br /> Lavatory(wash basin) _ Gas piping <br /> Shower Water heater <br /> Kitchen sink&dispos2l _ Gas fireplace <br /> Dishwasher _ Gasrange <br /> Clolhes washer _ Clothes dryer <br /> — �, Y Ran e hood <br /> S nk(serv celbadmoplei�) _ Exhaust fan <br /> Backflow preventer _ Heat pump <br /> Urinal Unit heater <br /> _ Dnnking Fountain Boiler <br /> Floor drain Refngeration <br /> Grease trap _ Woodstove <br /> Rouf drains _ Other <br /> _ Other — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriBfy that I have read and examined this application antl know the same to be true and corred. All provisions of laws and <br /> ordmaces governing lhis type of work will be complied with v.�hether specified herein or not The granting of a permit does not presume <br /> to give authonry to violate or cancel the p;ovision of any other state or local law regulating construclion or the perTormance of <br /> construction.?hat I am aulhorized by lhe owner of this property to perform the work tor which application is made and I comply with the <br /> State Contradors Law 10.27 RCW and 296200 WAC. <br /> Signature of wner/ ontraIXodAuthonzed Agent ate <br /> �(Z <br />